Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marshall Keith Gardner, DO

Individual provider Family Medicine Physician · NPI 1750354783

Dr. Marshall Keith Gardner, DO is a Family Practice in Philadelphia, Pennsylvania. Qualified in 1973, 53 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
53
Licensed in
PA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10151 Bustleton Ave # D
Philadelphia, PA 19116-3718
Phone: (215) 969-3013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS003214L (PA)

Record details

NPI number1750354783
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 9, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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